Background and objective <p>The aim of the study is to analyze the psychometric data of the four-item symmetry score with regard to responsiveness, sensitivity, and specificity according to the COSMIN recommendations.</p> Materials and methods <p>The examination protocols of 38&#xa0;infants from a&#xa0;previously published pilot study were re-evaluated and the examiners’ assessments were compared with the results of the four-item symmetry score. The McNemar test was used to calculate the responsiveness. The data from the validity study were used to determine specificity and sensitivity.</p> Results <p>The four-item symmetry score can be considered robust, with a&#xa0;significance of 0.248 in the McNemar test, a&#xa0;sensitivity of 83%, and a&#xa0;specificity of 85%.</p> Conclusion <p>The four-item symmetry score fulfills the criteria of the COSMIN recommendations and is suitable for the identification and follow-up of infants with postural and movement asymmetries at the age of 14–24&#xa0;weeks.</p>

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Supplement to the four-item symmetry score for investigation of postural and movement asymmetries in infants: responsiveness, sensitivity, specificity

  • Robby Sacher,
  • Dana Loudovici-Krug

摘要

Background and objective

The aim of the study is to analyze the psychometric data of the four-item symmetry score with regard to responsiveness, sensitivity, and specificity according to the COSMIN recommendations.

Materials and methods

The examination protocols of 38 infants from a previously published pilot study were re-evaluated and the examiners’ assessments were compared with the results of the four-item symmetry score. The McNemar test was used to calculate the responsiveness. The data from the validity study were used to determine specificity and sensitivity.

Results

The four-item symmetry score can be considered robust, with a significance of 0.248 in the McNemar test, a sensitivity of 83%, and a specificity of 85%.

Conclusion

The four-item symmetry score fulfills the criteria of the COSMIN recommendations and is suitable for the identification and follow-up of infants with postural and movement asymmetries at the age of 14–24 weeks.